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Rhode Island rates for HCPCS 42999

Unlisted procedure, pharynx, adenoids, or tonsils

Facilitymedian $575 · 10th–90th $182–$3,9810%10%10th90th$575Professionalmedian $468 · 10th–90th $251–$9330%20%40%10th90th$468$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $467.74 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $380.19 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $1,174.90 / $3,801.89